Capitol Lakes Inc.
Capitol Lakes Inc. is a healthcare organization registered as Skilled Nursing Facility in Madison, WI, holding Type 2 (organization) NPI 1902877632 since 2006. The authorized official on file is Tim Conroy, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902877632 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Capitol Lakes Inc. |
| Other name | <Unavail> |
| Practice address | 333 W MAIN ST, Madison, WI, 53703 |
| Phone | 6082832141 |
| Enumeration date | 2006-01-31 |
| Last updated in NPPES | 2025-12-11 |
Authorized official
| Name | Tim Conroy |
|---|---|
| Title | Executive Director |
| Phone | 6086218062 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20124200 | Medicaid | WI | — |
Copy-ready billing details
Provider: Capitol Lakes Inc. NPI: 1902877632 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 333 W MAIN ST, Madison, WI, 53703
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184770711 | Brian Ethridge | Individual | Physical Therapy Assistant | Madison, WI |
| 1083828115 | Adam Nell | Individual | Physical Therapy Assistant | Madison, WI |
| 1033499769 | Kimberly Stace | Individual | Occupational Therapy Assistant | Madison, WI |
| 1225450331 | Joni Magestro | Individual | Occupational Therapist | Madison, WI |
| 1174941272 | Karen Hurst | Individual | Speech-Language Pathologist | Madison, WI |
| 1437545167 | Jennifer Garny | Individual | Physical Therapy Assistant | Madison, WI |
| 1922551050 | Janet Fitch | Individual | Occupational Therapist | Madison, WI |
| 1477074086 | Rebecca Vermilyea | Individual | Occupational Therapist | Madison, WI |
Verify this record
Cross-check NPI 1902877632 against the authoritative CMS record: view Capitol Lakes Inc. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Capitol Lakes Inc. located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-11.